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Regulation of Health and Social Care Professionals Consultation

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above. The Council for <strong>Health</strong>care Regulatory Excellence has reviewed this area<br />

<strong>and</strong> made its own recommendations on some common terms. 89 In particular, the<br />

report concluded that “striking <strong>of</strong>f” was to be preferred to alternative terms such<br />

as “erasure” <strong>and</strong> “removal” because it was seen by the public as reassuring <strong>and</strong><br />

authoritative. 90 Alternatively, “striking <strong>of</strong>f” may have punitive connotations <strong>and</strong><br />

might not provide clarity about the purpose <strong>of</strong> the sanction which is to remove a<br />

registrant from their practice environment to ensure patient safety.<br />

9.118 There are also various terms used to describe warnings across the regulators,<br />

such as caution, admonishment or reprim<strong>and</strong>. In our view, the terms caution <strong>and</strong><br />

warning are more readily underst<strong>and</strong>able than admonishment or reprim<strong>and</strong>. We<br />

believe the most appropriate term is warning because this has a more formal<br />

connotation, whilst a caution can be interpreted as a slap on the wrist. We also<br />

welcome views on the terms used to describe consensual forms <strong>of</strong> disposal.<br />

Provisional Proposal 9-24: All Fitness to Practise Panels should have powers<br />

to impose the following: (1) erasure from the register; (2) suspension; (3)<br />

conditions; <strong>and</strong> (4) warnings.<br />

Provisional Proposal 9-25: The Government should be given a regulationmaking<br />

power to introduce systems <strong>of</strong> financial penalties <strong>and</strong> cost awards.<br />

Provisional Proposal 9-26: All Fitness to Practise Panels should have powers<br />

to agree undertakings <strong>and</strong> voluntary erasure.<br />

Provisional Proposal 9-27: The regulators should have powers to introduce<br />

immediate orders (or use Interim Orders for this purpose).<br />

Provisional Proposal 9-28: The test for imposing any <strong>of</strong> the sanctions listed in<br />

provisional proposal 9-24 <strong>and</strong> consensual disposals in 9-26 should be to<br />

protect, promote <strong>and</strong> maintain the health, safety <strong>and</strong> well-being <strong>of</strong> the public<br />

(<strong>and</strong> maintain confidence in the pr<strong>of</strong>ession).<br />

Provisional Proposal 9-29: The regulators should be given broad powers to<br />

make rules in relation to the sanctions listed in provisional proposal 9-24 <strong>and</strong><br />

consensual disposals in provisional proposal 9-26.<br />

Provisional Proposal 9-30: The Government should be given a regulationmaking<br />

power to add new sanctions <strong>and</strong> consensual disposals to those listed<br />

in provisional proposals 9-24 <strong>and</strong> 9-26, <strong>and</strong> to remove any sanctions <strong>and</strong><br />

consensual disposals.<br />

Question 9-31: Does the language used in the proposed list <strong>of</strong> sanctions <strong>and</strong><br />

consensual disposals contained in provisional proposals 9-24 <strong>and</strong> 9-26<br />

convey accurately their purpose?<br />

89<br />

Council for <strong>Health</strong>care Regulatory Excellence, Harmonising Fitness to Practise Sanctions:<br />

Common Terms (2009).<br />

90 As above, p 2.<br />

186

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